Dr. Robert Philip Shack , MD
Surgery • West Orange, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Shack has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Shack, MD was a registered Surgery practicing in West Orange, NJ. Throughout an active medical career spanning 11 years, Dr. Shack provided care at the practice location at 745 NORTHFIELD AVE until profile deactivation on 2017-02-08.
Practice Location & Contact Primary Location
745 Northfield Ave
West Orange, NJ 070521144
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in West Orange, NJ
Practicing in West Orange, NJ (815 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Medical
Physician Assistant (Certified)
Pediatrics - Adolescent Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 08, 2017
NPI status registered as active in NPPES database
Registered at 745 NORTHFIELD AVE, WEST ORANGE, NJ 070521144 (Tel: 9733257705)
Registered at 745 NORTHFIELD AVE, WEST ORANGE, NJ 070521144 (Tel: 9733257705)
Recorded as ROBERT SHACK, MD
Surgery (License #25MA02431400 in NJ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
745 Northfield Ave
West Orange, NJ 070521144
Phone: 9733257705
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